Organization · Type 2 NPI

Mall Services, LLC

Primary Care Clinic/Center · Jackson, MS

NPI number 1285700617 Active

Practice location

350 W Woodrow Wilson Ave, Suite 615
Jackson, MS 39213-7681

Fax (601) 982-0459

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XV-014 (MS)
Primary Care Clinic/Center 261QP2300XR729183 (MS)

Primary Care Clinic/Center: Definition to come...

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About NPI 1285700617

Mall Services, LLC's National Provider Identifier is 1285700617, issued on Nov 28, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Jackson, MS. The record was last updated on Aug 22, 2020.